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Comparison of the effects of normal and low blood pressure regulation on the optic nerve sheath diameter in robot assisted laparoscopic radical prostatectomy

Park JH, Hong JH, Kim JS, Kim HJ

Background: Robot-assisted laparoscopic radical prostatectomy is an advanced and popular surgical technique. However, increased intracranial pressure which is caused by CO2 pneumoperitoneum and Trendelenburg position is the main cerebrovascular effect....
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Modified valsalva versus standard valsalva for cardioversion of supraventricular tachycardia: systematic review and meta‑analysis

Abdulhamid A,  Almehmadi F, Ghaddaf A, Alomari M, Zagzoog A, Al‑Qubbany

Background: Supraventricular tachycardia (SVT) is a major cause of emergency room visits where vagal maneuver is used as first-line therapy. The valsalva maneuver (VM) is proven to be safe and,...
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Effects of Systemic Administration of Dexmedetomidine on Intraocular Pressure and Ocular Perfusion Pressure during Laparoscopic Surgery in a Steep Trendelenburg Position: Prospective, Randomized, Double-Blinded Study

Joo J, Koh H, Lee K, Lee J

Increased intraocular pressure (IOP) during surgery is a risk factor for postoperative ophthalmological complications. We assessed the efficacy of systemically infused dexmedetomidine in preventing the increase in IOP caused by...
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Effect of recruitment maneuver on arterial oxygenation in patients undergoing robot-assisted laparoscopic prostatectomy with intraoperative 15 cmHâ‚‚O positive end expiratory pressure

Ahn S, Byun SH, Chang H, Koo YB, Kim JC

BACKGROUND: This randomized, controlled study was designed to compare the effects of recruitment maneuvers (RMs) with a 15 cmHâ‚‚O positive end-expiratory pressure (PEEP) on the systemic oxygenation and lung compliance...
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Hemisphere cerebral infarction after total laparoscopic hysterectomy in the Trendelenburg position: A case report

Lee KH, Jeon YG, Cho DW, Kim MH, Lim HK

Perioperative stroke can lead to mortality or serious disability and usually occurs in patients undergoing cardiac, vascular, or neurologic surgery; it is rare in gynecological surgery. We report the case...
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Position does not affect the optic nerve sheath diameter during laparoscopy

Kim SH, Kim HJ, Jung KT

BACKGROUND: Increase in intracranial pressure (ICP) is one of the physiologic changes during laparoscopic surgery, which is known to be associated with positional changes. Changes of ICP can be measured...
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Comparison of volume-controlled and pressure-controlled ventilation in the Trendelenburg position for gynecological laparoscopic surgery

Kim KM, Moon HS, Lee SK, Kim EY, Lee S, Hwang WS, Jang SW, Kim SJ

BACKGROUND: Minimal invasive gynecologic surgery usually requires pneumoperitoneum and Trendelenburg positioning, which results in adverse effects on respiratory and hemodynamic parameters. The aim of this study was to investigate the...
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The simultaneous application of positive-end expiratory pressure with the Trendelenburg position minimizes respiratory fluctuations in internal jugular vein size

Han SS, Han WK, Ko DC, Lee SC

BACKGROUND: The respiratory cycle alters the size of the right internal jugular vein (RIJV). We assessed the changes in RIJV size during the respiratory cycle in patients under positive pressure...
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Postural Intraocular Pressure Change at Trendelenberg Position Measured by Rebound Tonometer

Kim SK, Ko JY, Sim JB, Park KH

PURPOSE: This study was carried out to evaluate the postural intraocular pressure (IOP) change in Trendelenburg, reverse Trendelenburg, and supine positions in healthy young males. METHODS: We measured the IOP values...
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The correlation between the Trendelenburg position and the stroke volume variation

Min JH, Lee SE, Lee HS, Chae YK, Lee YK, Kang Y, Je UJ

BACKGROUND: The stroke volume variation (SVV), based on lung-heart interaction during mechanical ventilation, is a useful dynamic parameter for fluid responsiveness. However, it is affected by many factors. The aim...
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Effect of Trendelenburg position on right and left internal jugular vein cross-sectional area

Lee JG, Park HB, Shin HY, Kim JD, Yu SB, Kim DS, Ryu SJ, Kim GH

BACKGROUND: Unlike the right internal jugular vein (RIJV), there is a paucity of data regarding the effect of the Trendelenburg position on the left internal jugular vein (LIJV). The purpose...
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Endotracheal cuff pressure change during gynecologic laparoscopic surgery: effect on the incidence of postoperative airway complications

Park SJ, Han SS, Ryu J, Do SH, Choi WJ, Kim YH, Lee JM, Lee HK, Han WG, Lee SC, Shin YH, Shin JM

  • KMID: 1795959
  • Anesth Pain Med.
  • 2013 Jul;8(3):190-195.
BACKGROUND: Laparoscopic surgery with reverse Trendelenburg position and carbon dioxide pneumoperitoneum has been known to increase the endotracheal tube (ETT) cuff pressure and the incidence of postoperative sore throat. The...
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Effects of incrementally increasing tidal volume on the cross-sectional area of the right internal jugular vein

Jo YY, Kim HS, Lee MG, Kim DY, Kil HK

BACKGROUND: Different tidal volume (TV) settings during mechanical ventilation alter intrathoracic blood volume, and these changes could alter central venous pressure and the cross sectional area (CSA) of the right...
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Arterial to end-tidal carbon dioxide pressure gradient increases with age in the steep Trendelenburg position with pneumoperitoneum

Choi DK, Lee IG, Hwang JH

BACKGROUND: Several factors affect the end-tidal carbon dioxide pressure (PETCO2) and increase the arterial to end-tidal carbon dioxide pressure gradient (Pa-ETCO2) during general anesthesia. We evaluated the relationship between age...
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The effect of Trendelenburg position and pneumoperitoneum on regional cerebral oxygen saturation during gynecological laparoscopic surgery

Kim YJ, Chung RK, Kim DY, Kim YJ, Kim JH, Han JI

  • KMID: 2169111
  • Anesth Pain Med.
  • 2012 Apr;7(2):174-177.
BACKGROUND: The Trendelenburg positon and pneumoperitoneum for gynecological laparoscopic surgery can affect cerebral oxygenation through the change of cerebral blood flow. The aim of this study was to evaluate the...
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The effects of hip abduction with external rotation and reverse Trendelenburg position on the size of the femoral vein; ultrasonographic investigation

Kim W, Chung RK, Lee GY, Han JI

BACKGROUND: Femoral vein (FV) catheterization is required for critically ill patients, patients with difficult peripheral intravenous access, and patients undergoing major surgery. The purpose of this study was to evaluate...
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The effect of nitroglycerin on hemodynamic changes during laparoscopic low anterior resection

Moon HS, Lee SK, Choi YS, In CB, Choi EJ

BACKGROUND: More laparoscopic low anterior resections (LAR) are being performed in recent years. There has been controversy around the hemodynamic changes affected by the Trendelenburg position and pneumoperitoneum during LAR....
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Comparison of postoperative sore throat due to cuff inflation of the endotracheal tube using the pilot balloon palpation technique and the minimally occlusive volume technique during total laparoscopic hysterectomy

Choi YH, Ji SM, Yoon SH, Park SI

  • KMID: 2263243
  • Anesth Pain Med.
  • 2011 Oct;6(4):380-384.
BACKGROUND: Inadequate tube cuff inflation during tracheal intubation can cause complications. Laparoscopic surgery requiring Trendelenburg positioning and maintaining pneumoperitoneum can also result in complications. The focus of our study was...
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The hemodynamic effects of a reversed Trendelenburg in elderly patients with increased cardiac risk during laparoscopic cholecystectomy

Kim KS, Yi SM, Jun JH, Cheong MA, Koo MS

BACKGROUND: We studied the hemodynamic changes induced by pneumoperitoneum and a reversed Trendelenburg in elderly patients with increased cardiac risk (ASA class III; n = 30; age 70.8 +/- 4.9...
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The Effect of Lithotomy-Trendelenburg Position and Carbon Dioxide Insufflation on the Distance from the Upper Incisor to the Carina

Shin CH, Cho YW, Park SH, Park SE, Baek IY, Kim DS, Kang K

BACKGROUND: The carbon dioxide (CO2) insufflation and lithotomy-Trendelenburg position are required in the laparoscopic gynecologic surgery. However, they can change the distance from the upper incisor to the carina. This...
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